FAC Explorer

Audit 318133

FY End
2023-12-31
Total Expended
$8.92M
Findings
6
Programs
7
Organization: Schc Companies, Inc. and Affiliates (NY)
Year: 2023 Accepted: 2024-08-29
Auditor: Bonadio & CO LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
485397 2023-001 - - N
485398 2023-001 - - N
485399 2023-001 - - N
1061839 2023-001 - - N
1061840 2023-001 - - N
1061841 2023-001 - - N

Programs

ALN Program Spent Major Findings
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.47M Yes 1
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $1.16M Yes 0
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $553,056 - 0
93.530 Affordable Care Act - Teaching Health Center Graduate Medical Education Payments Program $373,921 - 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $189,652 Yes 1
93.994 Maternal and Child Health Services Block Grant to the States $79,624 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $54,229 - 0

Contacts

Name Title Type
DDCJME29DKK1 John Milligan Auditee
3154301708 Tyler Sass Auditor
No contacts on file

Notes to SEFA

Title: SUBRECIPIENTS Accounting Policies: The accompanying schedule of expenditures of federal awards presents the activity of all federal award programs of SCHC Companies, Inc. and Affiliates. The schedule includes expenditures of Federal programs received directly from Federal agencies, as well as Federal assistance passed through other organizations. The schedule of expenditures is presented on the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Amounts included in the accompanying schedule of expenditures of federal awards are actual expenditures for the year ended. Differences between amounts included in the accompanying schedule of expenditures of federal awards and amounts reported to funding agencies for these programs result from report timing. De Minimis Rate Used: N Rate Explanation: SCHC Companies, Inc. and Affiliates did not elect to use the 10% de minimis rate as allowed under the Uniform Guidance. SCHC Companies, Inc. and Affiliates did not provide Federal awards to subrecipients for the year ended December 31, 2023.

Finding Details

Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.
Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.
Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.
Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.
Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.
Finding 2023-001
Criteria: Syracuse Community Health Center, Inc. (the Center) is required to have a sliding fee scale policy and to perform calculations in accordance with the established policy. Condition: During our audit, we tested a sample of 40 sliding fee scale calculations. Three patients in our sample were charged the incorrect amount based on the sliding fee determination. The sliding fee scale calculation used the incorrect slide discount percentage. Context: We recalculated the sliding fee using the supporting income documentation maintained by the Center and the Center’s policy. The sample was not a statistically valid sample. Cause: The condition can be attributed to human error and turnover in the department. Effect: Inconsistent application of sliding fee scale calculations to patient charges. Recommendation: The sliding fee scale option is available as a result of grant funding. The Center should provide training to those making eligibility calculations.